Case 47-1977

Abstract

Presentation of CaseA 60-year-old woman was admitted to the hospital because of fever.She was well until two years previously, when pain developed in both legs; a diagnosis of superficial phlebitis was made, and her symptoms improved on rest. Two weeks later she became febrile, with arthralgia and malaise. The left arm and hand and both feet were numb. On admission to another hospital weakness of grasp and a mild foot drop were found on the left side. The urinary sediment contained innumerable red cells and white cells, with red-cell and granular casts. The creatinine rose from 1.1 to . . .